Clinical study of laparoscopic sacrocolpopexy for pelvic organ prolapse.

Yoo, Eun Hee; Lee, Sun Kyung

doi:2011.54.11.684

Obstet Gynecol Sci > Volume 54(11); 2011 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2011;54(11):684-688.
DOI: https://doi.org/10.5468/KJOG.2011.54.11.684 Published online November 1, 2011.

Clinical study of laparoscopic sacrocolpopexy for pelvic organ prolapse.

Eun Hee Yoo, Sun Kyung Lee

Department of Obstetrics and Gynecology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Korea. yooe7@khu.ac.kr

Abstract

OBJECTIVE
The aim of our study is to describe the feasibility and safety of laparoscopic sacrocolpopexy for pelvic organ prolapse. METHODS: Twenty eight case series of laparoscopic sacrocolpopexy which were performed by the same surgeon were analysed retrospectively by reviewing medical records for peri- and postoperative data. Clinical outcomes and anatomical outcomes based on pelvic organ prolapse quantification system were assessed pre- and postoperatively. RESULTS: Initially, thirty one cases were tried and three cases were converted to open surgery (9.7%). Twenty eight cases with a mean age of 56 years (range, 34-69 years) were performed. Fifty three cases of concomitant surgery were performed with laparoscopic sacrocolpopexy. The mean operation time was 298 minutes. The minor perioperative complications of 3 cases (a case of wound hematoma and 2 cases of voiding dysfunction) occurred. There was no reoperation related to mesh or recurrent prolapse for a mean follow-up period of 20 months (range, 6-70 months). CONCLUSION: Our results confi rm that laparoscopic sacrocolpopexy is a feasible and safe surgical modality for pelvic organ prolapse.

Key Words: Laparoscopy, Sacrocolpopexy, Pelvic organ prolapse